探讨神经介入术与开颅手术治疗脑血管病的效果

To Explore the Effect of Neurointervention and Craniotomy in the Treatment of Cerebrovascular Disease

目的对比神经介入术与开颅手术治疗脑血管病效果。方法采用信封密封法将2017年1月—2019年12月期间该院收治的80例脑血管病患者随机分为对照组(n=40,开颅手术)及观察组(n=40,神经介入术),对比两组术后并发症及复发情况。结果两组患者均手术成功,围手术期无死亡,两组患者手术成功率均为100.00%。观察组并发症总数为4例,并发症发生率10.00%,对照组并发症总数为15例,并发症发生率37.50%,差异有统计学意义(χ^(2)=8.352,P=0.004<0.05)。观察组中无患者复发,对照组中6例患者复发,复发率为12.50%,差异有统计学意义(χ^(2)=4.505,P=0.034<0.05)。结论神经介入术与开颅手术治疗脑血管病患者均能取得显著效果,但神经介入术能够有效降低术后并发症发生率及复发率。

Objective To compare the effects of neurointervention and craniotomy in the treatment of cerebrovascular disease.Methods Used the envelope sealing method,80 patients with cerebrovascular disease admitted to the hospital from January 2017 to December 2019 were randomly divided into a control group(n=40,craniotomy)and an observation group(n=40,neurointervention).compared the postoperative complications and recurrence of the two groups.Results The operation was successful in both groups,and there was no death during the perioperative period.The operation success rate of the two groups was 100.00%.The total number of complications in the observation group was 4 cases,with a complication rate of 10.00%,and the total number of complications in the control group was 15 cases,with a complication rate of 37.50%,the difference was statistically significant(χ^(2)=8.352,P=0.004<0.05).There was no recurrence in the observation group,and 6 patients in the control group had recurrence.The recurrence rate was 12.50%,the difference was statistically significant(χ^(2)=4.505,P=0.034<0.05).Conclusion Both neurointerventional surgery and craniotomy can achieve significant results in the treatment of patients with cerebrovascular disease.However,neurointerventional surgery can effectively reduce the incidence of postoperative complications and recurrence rate.